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5874 SW 69 ST_EB-03-024 CITY OF SOUTH MIAMI PLANNING &ZONING DEPARTMENT ENVIRONMENTAL REVIEW AND PRESERVATION BOARD APPLICATION STREET ADDRESS OF JOB: (� �xJ G' g S 1 SOUTH MIAMI,FL PROPERTY OWNER: �l Tl` f /r 4p TEL.NO. r / ADDRESS: STREET CITY STATE Zip WHAT IS THE PRESENT USE OF THE PROPERTY? SINGLE-FAMILY RESIDENCE BUSINESS OFFICE v RETAIL STORE OTHER: APARTMENT OR TOWNHOUSE MEDICAL OFFICE AUTO REPAIR PLEASE,BRIEFLY SUMMARIZE THE WORK TO BE PERFORMED: 4,61/ Lt- ev , r CaGiv-A Ur iL Lr Mfr r� WHAT WILL THE TOTAL COST BE TO COMPLETE THIS PROJECT? ^�Q. APPLICANT'S NAME: �Y/Ui-r- 4- TEL NO. ADDRESS: o' ��4� SC.Cf l0 9 S �p cl4-14 R,Z�GW f STREET CITY STATE ZIP FAX NUMBER: AS THE APPLICANT,PLEASE,INDICATE YOUR RELATIONSHIP TO THIS PROJECT OWNER OF THE PROPERTY TENANT/LESSEE CONTRACTOR OTHER: OWNER OF THE BUSINESS ARCHITECT ENGINEER PLEASE,INDICATE CONTACT PERSON(ERPB's decision will be mailed to the contact person indicated below): PROPERTY OWNER APPLICANT OTHER(provide name and address) 4 / 7 A-3 P S NAME ON THE LINE ABOVE DATE a ��S O-� °J MMMMMMMM NMI MONO NMI MEMO MEN MMMMM NMI IMENN ME WE NMI MONO 0 ON ENO jMMM,, MMMMMMMMMMMMM N ME --�-. T �t Z C I---( `� CITY OF SOUTH MIAMI PLANNING & ZONING DEPARTMENT DATE: '— 7^ D CHECK NO: qf PROJECT NAME: ADDRESS: '7t¢ �'� PHONE NO: 03.41.300 ERPB HEARING FEES($450;$350;$150;$50) 03.41.300 DUMPSTER/CONSTRUCTION TRAILER AGREEMENT($50.00) 03.41.300 NEWSRACK APPLICATION FEE($50.00) [Plus$10.00 per Newsrack] 03.41.300 OUTDOOR DINING/SEATING PERMIT(S25 per seat/per year) 03.41.300 TEMPORARY SIGN PERMIT($35/each time) ' ❑1"Issuance; Renewals: p 2nd 0 3rd 03.41.300 TREE REMOVAL PERMIT($40.00) 03.41.300 SIDEWALK SALES($35/each time) 02.19.161 (A)ZONING HEARING AD FEE...........:.................($1,000) 03.41.200 ZONING HEARING ADMIN FEES.......................($500) [VARIANCES, CLOSING OF PUBLIC RIGHTS-OF-WAY, (TOTAL$ 1,500) AND WAIVER OF ROW INI ROVEMENTS] 02.19.161 (B)ZONING HEARING AD FEE.............................($1,000) 03.41.200 ZONING HEARING ADMIN FEES.....................($750) (Special Uses; Special Exceptions) (Total$ 1,750) 02.19.161 REZONING APPLICATION (less than 10 acres)..........($1750) . 02.19.161 REZONING APPLICATION (more than 10 acres).....($13,500) 02.19.161 LDC TEXT AMENDMENT AD FEE........................($1,000) 03.41.200 LDC TEXT AMENDMENT ADMIN FEE .................. ($750) (Total$1,750) 02.19.161 COMPREHENSIVE PLAN AMEND AD FEE............$15,000) 03.41.200 COMPREHENSIVE PLAN ADMIN FEE..................($5,000) (Total$20,000) 02.19.161 ADMINISTRATIVE WAIVER AD FEE.......................($50) 03.41.200 ADMINISTRATIVE WAIVER FEE...........................($450) (Total$500) 02.19.161 PUD/MAJOR CHANGE LEGAL ADS($1,000) _ 03.41.200 PUD/MAJOR CHANGE ADMIN FEE($2,000) 03.41.200 PUD MINOR CHANGE ADMIN FEE($1,000) 03.41.200 WAIVER-OF-PLAT APPLICATION($3,000) 03.41.400 REQUEST FOR MICROFILM RESEARCH($25.00) 03.41.400 MICROFILM Reader/Printer copies($7.50/each page) 03.41.400 MICROFILM REPRODUCTION($15.50/each) 02.19.162 MICROFILM REPRODUCTION($9.50/each) 02.19.162 BLUEPRINT MAPS AND OTHER MAPS [Zoning Maps,City Official Maps,Future Land Use Maps,G.I.S. Maps] 03.69.920 LDC,COMP PLAN& ALL PHOTOCOPIES IS 0.15 per single-side copy; $0.20 per double-sided copy] Ob TOTAL 02.19.162 Blueprints and Other Maps: 03.69.920 LDC,Comp Plan,Photocopies: Small Zoning Map $2.68 (Tax Included) Land Development Code $53.50 (Tax Included) Small Official City Map $2.68 (Tax Included) Comprehensive Plan $33.71 (Tax Included) Large Official City Map $3.75 (Tax Included) Hometown Regulations $ 4.49 (Tax Included) Land Use Color Map $4.28 (Tax Included) Census Data Packet $ 2.41 (Tax Included) Custom G. 1.S.Map $10.05(Tax Included) All Charrette Booklets FREE (No charge at all) \\MCGRUFF\PLA-tNNING\FormsUtECE1PT FORmSaeceipt form UPDATED-REV 01-15-03.doc r, CITY OF SOUTH MIAMI PLANNING &. ZONING DEPARTMENT DATE'; ° CHECK'NO PROJECT NAME: ? 1 a �- , ' f t 1 €�; , 7- t�ADDRESS: -41 ,� i PHONE NO: 03.41.300 ERPB HEARING FEES($450;350;$150;$50) Mfr 03.41.300 DUMPSTER/CONSTRUCTION TRAILER AGREEMENT($50.00) 03.41.300 NEWSRACK APPLICATION P F I(-$'S61;66"""}',. [Plus$10.00 per Newsrack] 03.41.300 OUTDOOR DINING/S.EATING PERMIT($25 per seat/per year) 03.41.300 TEMPORARY SIGN PERMIT($35/each time) 013 Issuance; Renewals: ❑.2nd❑3ra 03.41.300 TREE REMOVAL,PERMIT($40.00) 03.41.300 SIDEWALK SALES($35/each time) 02.19.161 (A)ZONING HEARING AD FEE.............................($1,000) 03.41.200 ZONING HEARING ADMIN FEES.......................($500) [VARIANCES, CLOSING OF PUBLIC RIGHTS-OF-WAY, (TOTAL$1,500) AND WAIVER OF ROW INTROVEMENTS] 02.19.161 (B)ZONING HEARING AD FEE.............................($1,000) 03.41.200 ZONING HEARING ADMIN FEES.....................($750) (Special Uses;Special Exceptions) (Total$1,750) 02.19.161 REZONING APPLICATION (less than 20 acres)..........($1750) 02.19.161 REZONING APPLICATION (more than 10 acres).....($1.3,500) 02.19.161 LDC TEXT AMENDMENT AD FEE........................($1,000) 03.41.200 LDC TEXT AMENDMENT ADMIN FEE .................. ($750) (Total$1,750) 02.19.161. COMPREHENSIVE PLAN AMEND AD FEE............$15,000) 03.41.200 COMPREHENSIVE PLAN ADMIN FEE..................($5,000) (Total$20,000) 02.19.161 ADMINISTRATIVE WAIVER AD FEE.......................($50) 03.41.200 ADMINISTRATIVE WAIVER FEE...........................($450) (Total$500) 02.19.161 PUD/MAJOR CHANGE LEGAL ADS($1,000) 03.41.200 PUD/MAJOR CHANGE ADMIN FEE($2,000) 03.41.200 PUD MINOR CHANGE .ADMIN FEE($1,000) F, 03.41.200 WAIVER-OF-PLAT APPLICATION($3,000) 03.41.400 REQUEST FOR MICROFILM RESEARCH($25.00) _ 03.41.400 MICROFILM Reader/Printer copies($7.50/each page) 0341.400 MICROFILM REPRODUCTION($15.50/each) 02.19.162 MICROFILM REPRODUCTION($9:50/each) 02.19.162 BLUEPRINT MAPS AND OTHER MAPS [Zoning Maps,City Official Maps,Future Land Use Maps,G.I.S.Maps] 03.69.920 LDC,COMP PLAN&ALL PHOTOCOPIES [$0.15 per single-side copy, $0.20 per double-sided copy] TOTAL rj 02.19.162 Blueprints and Other Maps: 03.69.920 LDC,Comp Plan,Photocopies: Small Zoning Map $2.68 '(Tax Included), Land Development Code $53.50 (Tax Included) Small Official City Map $2.68 (Tax Included)• Comprehensive Plan $33.71 (Tax Included) Large Official City Map $3.75 (Tax Included) Hometown Regulations $ 4.49 (Tax Included) Land Use Color Map $4.28 (Tax Included) Census Data Packet $ 2.41 (Tax Included) Custom G.1.S.Map $10.05(Tax Included) All Charrette Booklets FREE (No charge at all) t WICGRUFF\PLAiNNING\Forms\RECEIPT FORMS\Receipt form UPDATED-REV 01-15-03.doc White copy to Planning;Pink copy to Customer; fellow copy to Finance Rev.01115103 Ord:,No.` 14-02-1782, adopted 1114102 h I vv r�,AI IL tep ,14 STIMM, IL SWAr�043 At jp � /. � � � �i '� �� _ -- �-` �� S / l � �� Mrim v� 5874 STf 69 S1. ,rid WE t 5874 SW 69 St. f y'? a s, - - .,ti. y �I�rII�IIIAIIw k _ '1 �� 5874 S Tf 69,51. 0.0. 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